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Institution:
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Metropolitan Community College - Nebraska
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Subject:
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Description:
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This course is an introduction to health insurance and reimbursement. The student will be introduced to the health insurance field, managed health care, legal and regulatory issues, as well as reimbursement methodologies. The student learns why coding is imperative for proper reimbursement from insurance companies, as well as why medical necessity is imperative for proper reimbursement. Various types of private and governmental health, disability, and liability insurance are explored in detail while focusing on claim form instruction, billing and collection practices, and reimbursement guidelines, including the audit and appeals process. The student completes HCFA claim forms and applies basic Medicare and Medicaid rules, commercial insurance regulations, and regulations of workers' compensation claims. Prerequisites HIMS 1120 Course is offered On-line and as a Hybrid
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Credits:
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3.00
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Credit Hours:
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Prerequisites:
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Corequisites:
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Exclusions:
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Level:
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Instructional Type:
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Lecture
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Notes:
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Additional Information:
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Historical Version(s):
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Institution Website:
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Phone Number:
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(402) 457-2400
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Regional Accreditation:
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North Central Association of Colleges and Schools
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Calendar System:
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Quarter
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